MEDICARE: ABRAMS TREATMENT ASSOCIATES, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		IL

General Provider Information

NPI Number	:	1679674360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRAMS TREATMENT ASSOCIATES, LTD

Provider Business Mailing Address
First Line	:	PO BOX 1182
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60065-1182
Country	:	US
Telephone Number	:	847-480-0010
Fax Number	:	219-879-8571

Provider Business Practice Location Address
First Line	:	333 E ONTARIO ST
Second Line	:	3303B
City	:	CHICAGO
State	:	IL
Zip	:	60611-4804
Country	:	US
Telephone Number	:	847-480-0010
Fax Number	:	219-879-8571

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT C. ABRAMS
Credential	:	MSW
Telephone Number	:	847-480-0010

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	08/22/2020

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